摘要
目的:探讨分析自拟清热化湿疏肝汤治疗乙肝肝硬化(湿热内蕴证)的疗效。方法:选取2018年10月至2019年3月中国中医科学院广安门医院南区收治的乙肝肝硬化(湿热内蕴证)患者104例作为研究对象,按照随机数字表法随机分为观察组和对照组,每组52例。对照组给予常规西药(拉米夫定+富马酸替诺福韦二吡呋酯片+复方甘草酸苷)治疗,观察组在常规西药治疗的同时给予自拟清热化湿疏肝汤治疗,2组均持续治疗6个月。比较2组患者治疗前后症状评分、肝功能、肝纤维化指标变化、临床疗效和安全性。结果:与治疗前比较,2组治疗后主症、次症和总症状评分,血清ALT、AST和r-GGT水平,血清HA、PC-III、IV-C、LN水平水平均下降(P<0.05),且治疗后观察组上述评分和血清学指标均低于对照组(P<0.05);观察组临床疗效与对照组比较,差异有统计学意义(P<0.05),且观察组总有效率为94.23%,明显高于对照组的78.85%(P<0.05);2组不良反应发生率比较,差异无统计学意义(P>0.05),且均未出现肾损害。结论:对乙肝肝硬化(湿热内蕴证)患者在常规西药治疗的同时给予自拟清热化湿疏肝汤可减轻症状,改善肝功能,控制肝纤维化,且疗效理想,安全可靠。
Objective:To explore and analyze on the effect of self-made Qingre Huashi Shugan Decoction in patients with post-hepatitis B cirrhosis(internal accumulation of damp-heat syndrome).Methods:A total of 104 patients with post-hepatitis B cirrhosis(internal accumulation of damp-heat syndrome)were selected and divided into a western medicine group and a research group with a random number table generated by computer,with 52 cases in each group.Western medicine group was treated with routine western medicine(lamivudine+tenofovir fumarate dipyridamole tablets+compound glycyrrhizin),while the research group was treated with self-made Qingre Huashi Shugan Decoction at the same time of routine western medicine treatment,which lasted for 6 months.The changes of symptom scores,liver function and liver fibrosis indexes before and after treatment were compared,and the clinical efficacy and safety were compared.Results:Compared with before treatment,the main symptoms,secondary symptoms and total symptoms scores,serum ALT,AST and r-GGT levels,serum HA,PC-III,IV-C and LN levels in the 2 groups decreased after treatment(P<0.05),and the above scores and serological indicators in the study group were lower than those in the western medicine group after treatment(P<0.05).The clinical efficacy distribution of the study group was significantly different from that of the western medicine group(P<0.05),and the total effective rate of the study group was 94.23%,which was significantly higher than that of 78.85%in the western medicine group(P<0.05).The incidences of adverse reactions in the 2 groups were similar(P>0.05),and there was no renal damage.Conclusion:The self-made Qingre Huashi Shugan Decoction can alleviate symptoms,improve liver function and control liver fibrosis in patients with post-hepatitis B cirrhosis(internal accumulation of damp-heat syndrome)while being treated with conventional western medicine.It has ideal curative effect and is safe and reliable.
作者
张博
张静
李乔
Zhang Bo;Zhang Jing;Li Qiao(Southern District of Guang′anmen Hospital,China Academy of Chinese Medical Sciences,Beijing 100000,China;Department of Ophthalmology,Shanghai Integrated Traditional Chinese and Western Medicine Hospital,Shanghai University of Traditional Chinese Medicine,Shanghai 200082,China)
出处
《世界中医药》
CAS
2019年第12期3224-3227,3232,共5页
World Chinese Medicine
基金
国家自然科学基金项目(30701070)——茵陈蒿汤治疗肝硬化的方证病理基础研究
